Job details

Credentialing Assistant

Get a free resume review

Overview

Company Overview: Essen Health Care is a growing community healthcare network provides high quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a ‘population health’ model of care, Essen has five integrated clinical divisions offering services in primary & specialty offices, urgent care centers, and nursing homes, as well as house calls for home bound patients; all clinical services are also offered via telehealth. Our Care Management division supports patient-centered care through care coordination, complex care management and helping address health-related social needs.

Founded in 1999, Essen provides care in all five boroughs of New York City, with a primary focus in the Bronx

Job Summary

Job Summary: The Credentialing Specialist is responsible to coordinate and assist with the day-to-day administrative functions of the Department. The selected candidate will have excellent written communication skills, able to multitask and manage time effectively and provide administrative support to the Delegation team within the Credentialing Department.

Responsibilities

Key Responsibilities:

Efficient and timely completion of confidential Medicaid applications for provider enrollment, group affiliations, and ETIN enrollment/ maintenance.
Follow established timelines for processing and completion of applications
Critically evaluate application for any issues that may require special consideration, or additional review, and take appropriate action to resolve issue
Identify providers whom are due for ETIN recertification and escalate to supervisor appropriately
Coordinate with appropriate credentialing onboarding staff to obtain required information from provider
Perform self-audit of work to ensure data integrity before mailing applications
Document all tasks, phone calls, emails and other forms of communication during the application process.
Update rest of Medicaid team and onboarding platform once mailed
Assist to track the status of mailed applications, if needed
Provide status updates to Credentialing Department’s leadership within one business day, from receipt of request
Work with supervisor in identifying back-up coverage when out of the office
Timely and complete updates of credentialing software
Complete other related tasks or projects as assigned
Provide back-up to other Credentialing staff as necessary
Ensure providers files have up to date forms for Medicaid revalidations and yearly certifications.
Communicate with all levels of organization to obtain documentation and signatures.

Competencies:
- Able to multitask, prioritize, and manage time efficiently
- Excellent verbal and written communication skills
- Strong interpersonal and communication skills with an ability to work effectively with a wide range of people, teams, managers, supervisors, and vendors.
- Proficient with MS Office (outlook, word, excel, power point, access)

Qualifications

Qualifications:

Bachelor’s Degree in a Health-Related Discipline: Public Health, Healthcare Administrative, Health Service, Psychology or Sociology Highly Preferred, or in process
High School Diploma Required
At least one year of office administrative experience preferred
Notary a plus

Equal Opportunity Employer

ESSEN HEALTH CARE IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER

Essen Healthcare is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically-diverse population.

Average salary estimate

$47500 / YEARLY (est.)

min

max

$40000K

$55000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Credentialing Assistant, Essen Health Care

Are you passionate about working in healthcare and supporting a community that truly needs it? Essen Health Care is looking for a dedicated Credentialing Assistant to join our dynamic team in the Bronx! Here at Essen, we pride ourselves on providing compassionate and accessible medical care to New York's most vulnerable residents. As a Credentialing Assistant, you'll play a vital role in the administrative functions of our Credentialing Department. Your day-to-day tasks will include efficiently processing confidential Medicaid applications, coordinating with onboarding staff, and ensuring that all provider files are up-to-date. Your strong communication skills will be key as you'll need to interact with a wide range of people, from fellow team members to healthcare providers. If you're the kind of person who can multitask and manage time effectively, then we want to hear from you! With a Bachelor’s degree in a health-related discipline highly preferred, and at least one year of office administrative experience, you’ll be equipped to handle everything from self-auditing your work to providing timely status updates to leadership. Plus, your proficiency in MS Office will be essential in this role. We invite you to be a part of our mission to deliver quality healthcare in the Bronx while growing your career in an inclusive and supportive environment at Essen Health Care.

Frequently Asked Questions (FAQs) for Credentialing Assistant Role at Essen Health Care

What are the key responsibilities of a Credentialing Assistant at Essen Health Care?

The Credentialing Assistant at Essen Health Care is primarily responsible for the efficient processing of confidential Medicaid applications, managing provider enrollment, and coordinating with onboarding staff. You'll handle various administrative tasks like tracking application statuses, conducting self-audits for data integrity, and ensuring all required documentation is collected and maintained. These responsibilities are aimed at supporting our mission to deliver quality healthcare to the Bronx community.